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Paediatric Surgery (paediatric + surgery)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Paediatric Surgery and Urology , Long Term Outcomes

ANZ JOURNAL OF SURGERY, Issue 9 2008
FRACS, T. Muthurangam Ramanujam MB BS
No abstract is available for this article. [source]

OK-432 and lymphatic malformations in children: the Starship Children's Hospital experience

ANZ JOURNAL OF SURGERY, Issue 10 2004
Jonathan S. Wheeler
Background: Surgery has previously been the mainstay of treatment for lymphatic malformations but has attendant problems of marked scarring, high chance of recurrence and potential nerve damage. Alternative management for these lesions involves the intralesional injection of OK-432. The present paper reviews OK-432 use in lymphatic malformations in children. Methods: A retrospective chart review was carried out of children undergoing intralesional OK-432 therapy from the Departments of Paediatric Surgery, Paediatric Otolaryngology and Plastic Surgery at Starship Children's Hospital, Auckland. Results: Over the past 4 years, seven children under the age of 5 years underwent OK-432 therapy as day-case procedures requiring between one and seven procedures each. Four children had lesions involving the axilla/chest wall, two involved extra-mylohyoid tissues in the neck and one child had lymphatic malformation involving tongue, floor of mouth and an extramylohyoid component. Spontaneous haemorrhage into a cystic space may be the cause of the observed partial resolution of the lymphangiomas in two. A predictor of a successful outcome was the ability to aspirate fluid prior to injection. Ultrasound guidance was useful to localize the lesions for aspiration and injection. Macrocystic lesions respond well to OK-432 therapy but the response of microcystic or cavernous lesions to OK-432 is disappointing and surgery remains the definitive treatment for these microcystic lesions. Conclusion: OK-432 appears to be a safe and effective treatment for the macrocystic component of lymphatic malformations. [source]

Incidence of postoperative nausea and vomitingin paediatric ambulatory surgery

PEDIATRIC ANESTHESIA, Issue 8 2002
I. Villeret
SummaryBackground: We performed a prospective descriptive study over a 5-month period to determine the incidence of postoperative nausea and vomiting (PONV) during the first 24 h following elective ambulatory paediatric surgery, excluding head and neck procedures. Methods: Four hundred and seven patients, aged 15 days to 16 years, were analysed prospectively. Results: The incidence of PONV was 9.4%, occurring most frequently during the first 3 h after anaesthesia and in hospital but rarely during the journey home. It was associated with age, previous history of PONV, tracheal intubation or use of the laryngeal mask airway (LMAÔ), controlled or manual ventilation, opioids and absence of oral intake of liquids or solids. Conversely, type of surgery, premedication, induction mode, association of regional anaesthesia, inhaled nitrous oxide, duration of anaesthesia, stay in the postanaesthesia care unit and duration of journey after discharge were not significantly associated with PONV. Conclusions: PONV never induced complications or delayed patient discharge and curative treatment was rapidly effective. [source]

Preoperative oral granisetron for the prevention of vomiting following paediatric surgery

PEDIATRIC ANESTHESIA, Issue 3 2002
Yoshitaka Fujii MD
Background: We evaluated the efficacy of granisetron, 5-hydroxytryptamine type 3 receptor antagonist, given orally, preoperatively, for the prevention of postoperative vomiting in children undergoing general anaesthesia for surgery (inguinal hernia, phimosis-circumcision). Methods: In a randomized, double-blinded manner, 100 children, ASA physical status I, aged 4,11 years, received orally placebo or granisetron at three different doses (20 ,g·kg,1, 40 ,g·kg,1, 80 ,g·kg,1) 60 min before surgery (n=25 of each). The same standard general anaesthetic technique was used. Results: The percentage of patients being emesis-free during 0,6 h after anaesthesia was 56% with placebo, 64% with graniseron 20 ,g·kg,1 (P=0.773), 88% with granisetron 40 ,g·kg,1 (P=0.027) and 92% with granisetron 80 ,g·kg,1 (P=0.01); the corresponding rate during 6,24 h after anaesthesia was 60%, 68% (P=0.768), 92% (P=0.02) and 92% (P=0.02) (P -values versus placebo). No clinically serious adverse events were observed in any of the groups. Conclusions: In summary, preoperative oral granisetron 40 ,g·kg,1 is effective for the prevention of vomiting following paediatric surgery (inguinal hernia, phimosis-circumcision). Increasing the doses to 80 ,g·kg,1 provides no demonstrable additional benefit. [source]

VIDEOCONFERENCING SURGICAL TUTORIALS: BRIDGING THE GAP

ANZ JOURNAL OF SURGERY, Issue 4 2008
Andrew J. A. Holland
The expansion in medical student numbers has been associated with a move to increase the amount of time students spend in rural and remote locations. Providing an equivalent educational experience for students in surgical subspecialties in this setting is a logistical challenge. We sought to address this issue by providing synchronous tutorials in paediatric surgery using videoconferencing (VC) at two rural sites with the tutor located at a metropolitan paediatric clinical school. Between March 2005 and July 2006, 43 graduate students in the University of Sydney Medical Program were assigned to receive the paediatric component of the course at one of two sites within the School of Rural Health. During this 9-week rotation, students were involved in two or three surgical tutorials by videoconference. Students were then invited to complete a confidential, anonymous 20-point structured evaluation using a Likert scale. Valid responses were received from 40 students, a response rate of 93%. There were 21 females (52%), with 21 students based in Dubbo and 19 in Orange. Students agreed or strongly agreed that VC surgical tutorials were useful, the content well covered and student involvement encouraged (mean scores 4.7, 4.5 and 4.5; standard deviation 0.56, 0.72 and 0.72, respectively). Overall, the majority of students strongly agreed that participation in VC of surgical tutorials was valuable (mean 4.68, standard deviation 0.57). VC surgical tutorials were highly valued by graduate medical students as an educational method. Our data suggest that tutorials can be successfully provided at remote sites using VC. [source]

Jones' clinical paediatric surgery.

BRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue 5 2000
Diagnosis, management.
No abstract is available for this article. [source]